Provider Demographics
NPI:1609109123
Name:AYRAPETYAN, LILIT (PSYD)
Entity Type:Individual
Prefix:DR
First Name:LILIT
Middle Name:
Last Name:AYRAPETYAN
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:595 E COLORADO BLVD STE 428
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-2058
Mailing Address - Country:US
Mailing Address - Phone:310-880-7015
Mailing Address - Fax:310-756-1225
Practice Address - Street 1:595 E COLORADO BLVD STE 428
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-2058
Practice Address - Country:US
Practice Address - Phone:310-880-7015
Practice Address - Fax:310-756-1225
Is Sole Proprietor?:No
Enumeration Date:2009-09-16
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPSY27743103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical